After doing well through her recovery process from the primary procedure she was ready for her secondary corrective procedure a distal tibial osteotomy in may 2012 we performed an ankle arthroscopy to debride any synovitis and subsequently performed an opening wedge tibial osteotomy. Medial malleolar osteotomy w osteochondral allograft if this is your first visit be sure to check out the faq read the forum rules to view all forums post or create a new thread you must be an aapc member . The supramalleolar osteotomy is a commonly used surgical procedure to correct congenital or acquired deformities of the distal tibia ankle or foot in children osteotomy has been used to correct malunion of fractures physeal growth arrest tibial torsion paralytic deformities and sequelae of a clubfoot. Total ankle arthroplasty codes for each cptr code before assuming any one additional procedure is separate or included within the services provided under total ankle arthroplasty ie supramalleolar tibial osteotomy for post traumatic valgus tibia through the same incision as the primary procedure ligament repair 27695 ie . Supramalleolar osteotomy is being described here as a salvage procedure for the treatment of the uncommon complex rigid multiplanar hindfoot deformities with previous postoperative scarring or scarring from severe burns
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